JUSTIN VINE

SAN ANTONIO, TX
NPI1831662873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  AP138238)
Enumeration Date2019-01-02
Last Update Date2023-01-11
Business Address
Mr. JUSTIN VINE NP
2515 CASTROVILLE RD
SAN ANTONIO, TX 78237-3359
Phone number: 210-433-0366
Mailing Address
Mr. JUSTIN VINE NP
2515 CASTROVILLE RD
SAN ANTONIO, TX 78237-3359
Phone number: